Organization
EKOS LAKE NONA, PLLC
Active
Other names
Nona Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
GIO DEJESUS (OPERATIONS)
(813) 340-0116
Entity
Organization
Contact information
Practice address
9436 NARCOOSSEE RD, ORLANDO, FL 32827-5705
(321) 300-2235
Mailing address
8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL 33472-4469
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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